| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $9,549.93 | $16,595.87 | |
Aetna
| Professional | $181.97 | $190.55 | $758.58 | |
Moda Health
| Facility | $123.03 | $251.19 | $316.23 | |
Moda Health
| Professional | $117.49 | $229.09 | $741.31 | |
Premera BCBS
| Professional | $831.76 | $831.76 | $1,258.93 | |
Providence
| Facility | $223.87 | $251.19 | $891.25 | |
United
| Professional | $263.03 | $446.68 | $1,023.29 |